Over-the-counter herbal supplements are a $4.5 billion a year industry. The herbal supplement business has seen steady growth since 1994 and continues to increase. Retailers, such as WalMart, continue to expand their inventory making a variety of supplements available. Recent estimates conclude 1 in 6 adults are taking one or more herbal products. Some of the most common supplements can cause bleeding gums, digestive problems, insomnia, and diminish the effectiveness of some prescription drugs.
Commonly used herbal products and potential effects:
- Echinacea: GI upset and allergic reactions
- Garlic: Increased post-surgical bleeding
- Gingko (biloba): Increased bleeding, interferes with anticoagulants and NSAIDS
- Ginseng: Increased bleeding, decreased blood sugar, increased blood pressure
- Green Tea: GI upset, insomnia, cardiac palpitations, headaches
- St. John’s Wart: causes dry mouth
- Vitamin E: >400IU/day can increase bleeding, delays wound healing
While there are many advantages to taking supplements, the possible side effects are not well publicized. Supplements are also not regulated by the Food and Drug Administration, so testing is very limited. Please be sure to inform the necessary staff if you are taking supplements, so that you receive the best care possible!